Loose skin on the upper eyelids in the corners that causes creases: how can I fix this without Botox or injections? (Photos)

Thanks for reaching out, great question! It appears that you would be a good candidate for a VERY CONSERVATIVE upper lid blepharoplasty to reduce the fold or excess skin on your upper lid. The good news is that this is a 20 minute in-office procedure with relatively little down time! I recommend getting evaluated by an eyelid trained plastic surgeon to hear more about this. Hope that helps!

You have mild upper eyelid ptosis and extra skin . Upper eyelid surgery will help. Please see the link

 Botox is only used for dynamic wrinkles, not lose skin. To remove loose and inelastic skin requires an upper blepharoplasty procedure. For many examples, please see link and the video below

A botulinum toxin (Dysport, Xeomin, Botox) could gently lift the brows, but you aren't interested in this option.  Conservative skin tightening with Fractora or Laser skin resurfacing could be done, but in that location the result likely only minimal.  Likely the best bet would be a very conservative upper blepharoplasty.  Overall though your eyes look good.  Best regards. 

The cause of the creases above your eyelids comes from a combination of decreasing elasticity of the skin of the eyelid  and a slight lowering of the brow which happens to everyone. As the skin ages, it gets thinner because of loss of collagen and less effective elastin fibers. The skin begins to droop. Added to that is that there is only one muscle that elevates the eyebrow and seven muscles that cause the eyebrows to descend. Your blue eyes, that by definition are more sensitive to sunlight, cause more wincing when exposed to bright lights or sunlight. The normal progression of those two events causes the apparent excess skin over your eyelids. The correction may be a simple excision of a tiny strip of skin, or a brow pexy or lift if necessary. Care must be taken to prevent too much elevation since you have more prominent projection of your eyeballs as compared to someone who has deeper set eyes, If the brows are elevated too much or more skin is excised than necessary, you may not be able to completely close your eyelids which leads to dry eyes. A complete evaluation is necessary to decide what your best option is. John Standefer MD

Every upper eyelid will have a crease visible when the eyes are open.  This amount of skin is needed to allow the eyelids to close when closing eyes.  Judging from your photos, you do not have an excess skin and the amount of crease is natural and necessary.  Any upper eyelid surgery can conceivably create closure problem for your eyes and dryness.  I suggest to see an  oculoplastic surgeon for further evaluation.